[24F] With back pain, vision issues, and fainting

Patient Description

A 24-year-old female reports experiencing a sudden onset of burning back pain on the right side, which began before she fainted last night. The pain is exacerbated by bending and breathing. She has also been experiencing nausea, vision issues described as blurry or an inability to see clearly, and lightheadedness for about a month. These symptoms began after a chiropractic neck adjustment following a car accident six months ago. The patient experiences intermittent headaches, dizziness, ringing in the ears, and sensitivity to light and sound. She has noticed some changes in coordination and balance, though she considers herself clumsy. There is tingling or numbness in the arms or hands. No imaging tests have been conducted since the onset of symptoms. The patient has no known pre-existing conditions, allergies, or current medications.

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Arora's Assessment

What might be happening

Based on your symptoms, there are a few possibilities to consider:

  1. Kidney Stone or Infection: The burning back pain on your right side, especially if it's severe and sudden, could indicate a kidney stone or infection. These conditions can cause nausea and sometimes fainting due to pain.

  2. Spinal Issue: Given your recent chiropractic adjustment and car accident, there might be an issue with your spine or nerves, which could explain the tingling in your arms and vision problems.

  3. Neurological Issue: The combination of vision issues, headaches, and fainting could suggest a neurological problem that needs immediate attention.

  4. Inner Ear Problem: Dizziness and ringing in the ears might point to an inner ear issue affecting your balance and vision.

It's crucial to seek medical attention immediately to determine the exact cause.

What you can do

  • Seek Emergency Care: Given the seriousness of your symptoms, especially the fainting and vision issues, it's important to visit an emergency room as soon as possible. If you feel unable to get there safely, call 911 or have someone drive you.

  • Avoid Strain: Until you receive medical advice, try to avoid activities that worsen your symptoms, like bending or heavy lifting.

  • Stay Hydrated: Drink plenty of water, especially if a kidney issue is suspected.

  • Monitor Symptoms: Keep track of any changes or new symptoms, and share this information with healthcare providers.

Remember, only a healthcare professional can provide a proper diagnosis and treatment plan. Please prioritize getting medical help right away.

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2 mo ago

People Also Ask

What could cause sudden burning back pain on one side?

Sudden burning back pain on one side could be caused by a kidney stone or infection, which can lead to severe pain and other symptoms like nausea and fainting. It could also be related to a spinal issue, especially if there was a recent injury or adjustment.

Can a chiropractic neck adjustment lead to neurological symptoms?

A chiropractic neck adjustment, especially after a car accident, can potentially lead to neurological symptoms if there is an underlying issue with the spine or nerves. This could result in symptoms like tingling, vision problems, and headaches.

What are the potential causes of dizziness and ringing in the ears?

Dizziness and ringing in the ears can be caused by an inner ear problem, such as an infection or vestibular disorder, which affects balance and hearing. These symptoms can also be related to neurological issues.

How can a car accident affect my health months later?

A car accident can have long-term effects on health, including musculoskeletal injuries, whiplash, or even subtle neurological damage that might not be immediately apparent. These can manifest as pain, coordination issues, or other symptoms months later.

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